Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.22 / $32.36 / $117.49	Facility		$16.22	$32.36	$117.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.30 / $21.88 / $35.48	Professional		$12.30	$21.88	$35.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $22.39 / $28.18	Professional		$22.39	$22.39	$28.18
Hally Health Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $21.38 / $40.74	Professional		$7.76	$21.38	$40.74
Medica Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $21.38 / $35.48	Facility		$3.98	$21.38	$35.48
Medica Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $21.38 / $26.92	Professional		$6.03	$21.38	$26.92
Midlands Facility/Professional Professional Modifier Low / Median / High Price $21.38 / $26.92 / $26.92	Professional		$21.38	$26.92	$26.92
United Facility/Professional Facility Modifier Low / Median / High Price $0.02 / $0.02 / $33.88	Facility		$0.02	$0.02	$33.88
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $21.88 / $22.91	Professional		$20.42	$21.88	$22.91
Wellmark Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $21.38 / $21.38	Facility		$21.38	$21.38	$21.38